Radiofrequency microtenotomy for the treatment of chronic insertional tendinopathy: Comparison of 2 surgical techniques and preliminary results

Techniques in Shoulder and Elbow Surgery

Volumn 10, Issue 3, 2009, Pages 105-111

  Canquerini, Ricardo ^a   Ellera Gomes, João L ^a  

^a Centro de Ortopedia Do Esporte   (Brazil)

Author keywords

Chronic insertional tendinopathy; Electrocautery; Lateral epicondylitis; Radiofrequency; Surgical technique

Indexed keywords

EID: 69849107221     PISSN: 15239896     EISSN: None     Source Type: Journal    
DOI: 10.1097/BTE.0b013e3181b22e65     Document Type: Article

References (48)

1. Haahr JP, Andersen JH. Prognostic factors in lateral epicondylitis: a randomized trial with one-year follow-up in 266 new cases treated with minimal occupational intervention or the usual approach in general practice. Rheumatology (Oxford). 2003;42:1216-1225.
2. Haahr JP, Andersen JH. Physical and psychosocial risk factors for lateral epicondylitis: a population based case-referent study. Occup Environ Med 2003;60:322-329.
3. Khan KM, Cook JL, Bonar F, et al. Histopathology of common tendinopathies. Update and implications for clinical management. Sports Med. 1999;27:393-408.
4. Alfredson H. The chronic painful Achilles and patellar tendon: research on basic biology and treatment. Scand J Med Sci Sports. 2005;15:252-259.
5. Coonrad RW, Hooper WR. Tennis elbow: its course, natural history, conservative and surgical management. J Bone Joint Surg Am. 1973;55:1177-1182.
6. Alfredson H. Chronic tendon pain-implications for treatment: an update. Curr Drug Targets. 2004;5:407-410.
7. Nirschl RP, Pettrone FA. Tennis elbow. The surgical treatment of lateral epicondylitis. J Bone Joint Surg Am. 1979;61:832-839.
8. Leadbetter WB, Mooar PA, Lane GJ, et al. The surgical treatment of tendinitis. Clinical rationale and biologic basis. Clin Sports Med. 1992;11:679-712.
9. Pannier S, Masquelet AC. Treatment of epicondylitis by deep fasciotomy of the extensor carpi radialis brevis and supinator: a review of 18 cases. Rev Chir Orthop Reparatrice Appar Mot. 2002;88:565-572.
10. Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg Am. 1999;81:259-278.
11. Nirschl RP. Elbow tendinosis/tennis elbow. Clin Sports Med. 1992;11:851-870.
12. Nirschl RP, Ashman ES. Elbow tendinopathy: tennis elbow. Clin Sports Med. 2003;22:813-836.
13. Boyer MI, Hastings H II. Lateral tennis elbow: "Is there any science out there"? J Shoulder Elbow Surg. 1999;8:481-491.
14. Meknas K, Odden-Miland A, Mercer JB, et al. Radiofrequency microtenotomy: a promising method for treatment of recalcitrant lateral epicondylitis. Am J Sports Med. 2008;36:1960-1965. Epub 2008 Jun 16.
15. Hong QN, Durand MJ, Loisel P. Treatment of lateral epicondylitis: where is the evidence? Joint Bone Spine. 2004;71:369-373. (Pubitemid 39335669)
16. Lech O, Piluski PCF, Severo AL. Epicondilite lateral do Cotovelo. Rev Bras Orthop. 2003;38:421-435.
17. Calfee RP, Patel A, DaSilva MF, et al. Management of lateral epicondylitis: current concepts. J AmAcadOrthop Surg. 2008;16:19-29.
18. Labelle H, Guibert R, Joncas J, et al. Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow. An attempted metaanalysis. J Bone Joint Surg Br. 1992;74:646-651.
19. Kaminsky SB, Baker CL Jr. Lateral epicondylitis of the elbow. Tech Hand Up Extrem Surg. 2003;7:179-189.
20. Binder AI, Hazleman BL. Lateral humeral epicondylitis-a study of natural history and the effect of conservative therapy. Br J Rheumatol. 1983;22:73-76.
21. Nirschl RP. The etiology and treatment of tennis elbow. J Sports Med. 1974;2:308-323.
22. Nirschl RP. Tennis elbow. Orthop Clin North Am. 1973;4:787-800.
23. Gardner RC. Surgery for tennis elbow: a five-year follow-up. Orthop Rev. 1974;3:45.
24. Nirschl RP. Tennis elbow: further considerations. J Sports Med. 1975;3:48-49.
25. Astrom M. Partial rupture in chronic achilles tendinopathy. A retrospective analysis of 342 cases. Acta Orthop Scand. 1998;69:404-407.
26. Tasto JP, Cummings J, Medlock V, et al. Microtenotomy using a radiofrequency probe to treat lateral epicondylitis. Arthroscopy. 2005;21:851-860.
27. Shapiro GS, Weiland AJ. Reactive bone formation after surgery for lateral epicondylitis. J Shoulder Elbow Surg. 2002;11:383-385.
28. Rubenthaler F, Wiese M, Senge A, et al. Long-term follow-up of open and endoscopic Hohmann procedures for lateral epicondylitis. Arthroscopy. 2005;21:684-690.
29. Verhaar J, Walenkamp G, Kester A, et al. Lateral extensor release for tennis elbow. A prospective long-term follow-up study. J Bone Joint Surg Am. 1993;75:1034-1043.
30. Baker CL, Brooks AA. Arthroscopy of the elbow. Clin Sports Med. 1996;15:261-281.
31. Baker CL Jr, Jones GL. Arthroscopy of the elbow. Am J Sports Med. 1999;27:251-264.
32. Kuklo TR, Taylor KF, Murphy KP, et al. Arthroscopic release for lateral epicondylitis: a cadaveric model. Arthroscopy. 1999;15:259-264.
33. Baker CL Jr, Baker CL III. Long-term follow-up of arthroscopic treatment of lateral epicondylitis. Am J Sports Med. 2008;36:254-260.
34. O'Driscoll SW. Arthroscopic treatment for osteoarthritis of the elbow. Orthop Clin North Am. 1995;26:691-706.
35. Owens BD, Murphy KP, Kuklo TR. Arthroscopic release for lateral epicondylitis. Arthroscopy. 2001;17:582-587.
36. O'Driscoll SW, Morrey BF. Arthroscopy of the elbow. Diagnostic and therapeutic benefits and hazards. J Bone Joint Surg Am. 1992;74:84-94.
37. Szabo SJ, Savoie FH III, Field LD, et al. Tendinosis of the extensor carpi radialis brevis: an evaluation of three methods of operative treatment. J Shoulder Elbow Surg. 2006;15:721-727.
38. Tasto JP, Amiel D, Takahashi N, et al. Radiofrequency microtenotomy for epicondylitis: five-year follow-up and proposed mechanism of action (SS-65). Arthroscopy J Arthrosc Relat Surg. 2008;24:e37.
39. Ljung BO, Alfredson H, Forsgren S. Neurokinin 1-receptors and sensory neuropeptides in tendon insertions at the medial and lateral epicondyles of the humerus. Studies on tennis elbow and medial epicondylalgia. J Orthop Res. 2004;22:321-327.
40. Takahashi N, Tasto JP, Ritter M, et al. Pain relief through an antinociceptive effect after radiofrequency application. Am J Sports Med. 2007;35:805-810.
41. Ljung BO, Forsgren S, Friden J. Sympathetic and sensory innervations are heterogeneously distributed in relation to the blood vessels at the extensor carpi radialis brevis muscle origin of man. Cells Tissues Organs. 1999;165:45-54.
42. Ackermann PW, Li J, Lundeberg T, et al. Neuronal plasticity in relation to nociception and healing of rat achilles tendon. J Orthop Res. 2003;21:432-441.
43. Goldie I. Epicondylitis Lateralis Humeri (Epicondylalgia or Tennis Elbow). A Pathogenetical Study. Acta Chir Scand Suppl. 1964;57(suppl 339):1+.
44. Putnam MD, Cohen M. Painful conditions around the elbow. Orthop Clin North Am. 1999;30:109-118.
45. Taverna E, Battistella F, Sansone V, et al. Radiofrequency-based plasma microtenotomy compared with arthroscopic subacromial decompression yields equivalent outcomes for rotator cuff tendinosis. Arthroscopy. 2007;23:1042-1051.
46. Ochiai N, Tasto JP, Ohtori S, et al. Nerve regeneration after radiofrequency application. Am J Sports Med. 2007;35:1940-1944.
47. Mullett H, Sprague M, Brown G, et al. Arthroscopic treatment of lateral epicondylitis: clinical and cadaveric studies. Clin Orthop Relat Res. 2005;439:123-128.
48. Grundberg AB, Dobson JF. Percutaneous release of the common extensor origin for tennis elbow. Clin Orthop Relat Res. 2000;376:137-140.